MS. LISA J APPLETON NP
NPI 1831219609
Nurse Practitioner in Greenfield, MA

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
329 CONWAY ST, GREENFIELD, MA 01301(413) 774-6301(866) 644-0871 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Feb 16, 2023 (2 updates tracked since 2023).

About Ms. Lisa J Appleton Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA J APPLETON NP (NPI 1831219609) is an individual nurse practitioner in Greenfield, Massachusetts, licensed in Massachusetts (230156) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1831219609
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. LISA J APPLETONCredential: NP
Location Address329 CONWAY STGreenfield, MA 01301-1521
Mailing Address329 Conway StGreenfield, MA 01301-1521 · (413) 774-6301 · Fax (866) 644-0871
Fax(866) 644-0871
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1831219609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 230156
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
329 CONWAY ST, Greenfield, MA 01301

Secondary Practice Locations 3

Location 131 Hall DrAmherst, MA 01002-2751 · Phone (413) 256-8561 · Fax (866) 644-0869
Location 2238 Northampton StEasthampton, MA 01027-1046 · Phone (413) 529-9300 · Fax (866) 644-0870
Location 370 Main StFlorence, MA 01062-1466 · Phone (413) 586-8400 · Fax (866) 644-0872

Other Identifiers 1

Medicaid110079537AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa J Appleton Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294771804
PECOS Enrollment IDI20050706000153
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
454 services265 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
197 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services52 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
67 services40 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
56 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers27 claims54 services$4.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$69.54 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers13 claims2,694 services$0.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$35.56 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers13 claims13 services$24.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
329 CONWAY ST, SUITE 2
GREENFIELD, MA 01301
Durable Medical Equipment & Medical Supplies
329 CONWAY ST, GREENFIELD HEALTH CENTER
GREENFIELD, MA 01301
Dietitian, Registered
329 CONWAY ST
GREENFIELD, MA 01301
Nurse Practitioner (Family)
329 CONWAY ST
GREENFIELD, MA 01301
Family Medicine
329 CONWAY ST, VALLEY MEDICAL GROUP, PC-GREENFIELD HEALTH CENTER
GREENFIELD, MA 01301
Audiologist
329 CONWAY ST, PIONEER HEARING SERVICES
GREENFIELD, MA 01301
Social Worker (Clinical)
329 CONWAY ST
GREENFIELD, MA 01301
Physical Therapist
329 CONWAY ST, GREENFIELD HEALTH CENTER
GREENFIELD, MA 01301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Appleton's NPI number?

The NPI number for Lisa Appleton is 1831219609. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Lisa Appleton located?

Lisa Appleton practices at 329 Conway St, Greenfield, MA 01301. The listed phone number is (413) 774-6301.

What is Lisa Appleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Appleton enrolled in Medicare?

Yes. Lisa Appleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Appleton accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Appleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Appleton affiliated with any hospitals?

According to CMS data, Lisa Appleton is affiliated with Cooley Dickinson Hospital Inc,the and Baystate Franklin Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Appleton was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.